Day 4

Question 1

collateral circulation options are

Answer 1

Lymph fluid uses vessels that circumnavigate blocked areas

Could prevent onset of edema

Perforating precollectors

Initial lymph vessel plexus

Long upper arm type

Lymph vasa-vasorum

Anastomoses

Redirect lymph fluid into healthy drainage areas

Question 2

Lymphatic safety factor is when

Answer 2

Intact lymph collectors increase their concentration frequency and intensity

Compensate for collectors affected by mechanical insuffancy

Over time remaining collectors may become fatigued

Question 3

Lympho lymphatic anastomoses are

Answer 3

Disconnected lymph collectors from blunt trauma will regenerate in 2-3 weeks

Less likely to regenerate through scar tissue>3mm

Collectors can regenerate through soft scar

Disconnected lymph collectors may regrow into neighboring veins

Surgical procedures want to replicate this physiological process (LVA)

Question 4

Lymph vasa-vasorum are

Answer 4

Vasa-vasorum=vessels of vessels

Larger arteries and veins in the body have their own/separate arterial, venous, and lymphatic vessels (and nodes) to supply their walls

Normally dormant to surrounding lymph

With high intra-lymphatic pressure, LVV’s will be a pathway of lower pressure

Drain smaller amounts of lymph fluid

Manipulate chephalic and femoral veins with special technique

Question 5

Macrophages

Answer 5

With protein accumulation in the tissues, monocytes will leave the blood capillaries in large numbers

Once in tissues, these monocytes are macrophages (phagocytes)

Macrophages digest proteins into amino acids (smaller molecules) to be reabsorbed by blood capillaries

Question 6

Oral benzopyrones activate macrophages are

Answer 6

Coumarin
Flavonoids
Have no FDA approval
Linked to liver toxicity
Questionable benefits

Question 7

Topical benzopyrones activate macrophages are

Answer 7

Good moisturizer
Unguntum lymphaticum
All-natural ointment
No real proven effect
Only use 3x a week
Smells bad